DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Defouw, Michelle	DOIID	1122102	NAIC NPN	9274390

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/25/2021		12/31/2026
Active	Non Resident	Agent	Property	2/25/2021		12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	6/24/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	6/24/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dimension Insurance Agency Inc	1128986	Agent - Casualty	4/12/2021
Active	Dimension Insurance Agency Inc	1128986	Agent - Property	4/12/2021
Active	Fortress Policy And Insurance Services, Inc.	1289797	Agent - Casualty	9/7/2023
Active	Fortress Policy And Insurance Services, Inc.	1289797	Agent - Property	9/7/2023